Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Pediatric Dental & Anesthesia, a Division of Atlantic Dental Care

Organization Dentist · NPI 1639936172

Coastal Pediatric Dental & Anesthesia, a Division of Atlantic Dental Care is a Dentist in Norfolk, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
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Practice location Address checks out

6161 Kempsville Cir Ste 345
Norfolk, VA 23502-3950
Phone: (757) 963-0001
Fax: (757) 961-9988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dental Anesthesiology Taxonomy 1223D0004X
General Practice Dentistry Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1639936172
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAtlantic Dental Care, PLC
Authorized official Jonathan Wong — Dentist · (757) 963-0001
Other names Coastal Pediatric Dental & Anesthesia; Jillian Reynolds Dds & Jonathan L Wong, Dmd Pllc, A Division Of Atlantic Dental Care
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address6161 Kempsville Cir Ste 345, Norfolk, VA 23502-3950

Other providers in Norfolk